Dr John William Polley, MD in Traverse City, MI

Dr John William Polley, MD is a medicare enrolled "Plastic Surgery" physician in Traverse City, Michigan. His current practice location is 5085 Anna Dr Ste A, Traverse City, Michigan. You can reach out to his office (for appointments etc.) via phone at (231) 935-0180.

Dr John William Polley is licensed to practice in Michigan (license number 4301403808) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1477534931.

Contact Information

	Dr John William Polley, MD
	5085 Anna Dr Ste A, Traverse City, MI 49684-7475
	(231) 935-0180
	(231) 935-0099

Map and Direction

Physician's Profile

Full Name	Dr John William Polley
Gender	Male
Speciality	Plastic Surgery
Location	5085 Anna Dr Ste A, Traverse City, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1477534931
Provider Enumeration Date: 11/10/2005
Last Update Date: 03/07/2023

Medicare PECOS Information:

PECOS PAC ID: 5698840601
Enrollment ID: I20140620000470

Medical Identifiers

Medical identifiers for Dr John William Polley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477534931	NPI	-	NPPES
036079739	Medicaid	IL
0B80405	Other	MI	BCBSMI
21623004	Other	IL	BCBS PROVIDER #

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208200000X	Plastic Surgery	4301403808 (Michigan)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr John William Polley allows following entities to bill medicare on his behalf.

Entity Name	Munson Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083761860 PECOS PAC ID: 3072426287 Enrollment ID: O20040108000904

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr John William Polley is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr John William Polley, MD 5085 Anna Dr Ste A, Traverse City, MI 49684-7475 Ph: (231) 935-0180	Dr John William Polley, MD 5085 Anna Dr Ste A, Traverse City, MI 49684-7475 Ph: (231) 935-0180

Reviews and Comments

Plastic Surgery Doctors in Traverse City, MI

F Matthew Smith, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 5085 Anna Dr Ste A, Traverse City, MI 49684 Phone: 231-935-0180 Fax: 231-935-0099
Steven V Thomas, MD Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 4110 Copper Ridge Dr, Ste 242 Bldg D, Traverse City, MI 49684 Phone: 231-929-7700 Fax: 231-929-7709
Dr. Kyle Reece Ver Steeg Ii, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4020 Copper Vw Ste 122, Traverse City, MI 49684 Phone: 231-943-1712 Fax: 231-668-4038
Ryan Scot Burke, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4110 Copper Ridge Dr Ste 242, Traverse City, MI 49684 Phone: 231-929-7700
Dr. Christopher Alan Bobbitt, MD Plastic Surgery Medicare: Medicare Enrolled Practice Location: 701 W Front St Ste 100, Traverse City, MI 49684 Phone: 231-935-0800
Dr. Thomas R Doerr, M.D. Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 213 S Madison St, Traverse City, MI 49684 Phone: 231-947-0220 Fax: 231-947-1629

Dr John William Polley, MD - Medicare Plastic Surgery in Traverse City, MI